Loading...
Publication
Dor pós-operatória endodôntica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 913.15 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A Endodontia é a área da Medicina Dentária responsável pelo diagnóstico, tratamento e prognóstico de patologias pulpares.
Dentro da classe de patologias pulpares, está incluído o "flare-up," uma emergência endodôntica.
O flare-up é uma condição que pode surgir durante o TE ou após o término do mesmo. A sintomatologia mais verificada é a dor e o edema.
São muitos os factores causais apontados para o aparecimento desta condição, como por exemplo, irritantes deixados no interiores dos canais, a presença de dor e/ou edema no pré-tratamento, entre muitas outras causas.
O flare-up é uma patologia dolorosa que em muitos casos perturba a relação existente entre o paciente e o MD. É por isso, que é aconselhado antes do início de qualquer TE, que o MD explique as eventuais complicações que podem surgir.
O Piare-up é tratável e apresenta um bom prognóstico, se correctamente diagnosticado.
Objectivos: Nesta dissertação teve-se como objectivos o esclarecimento sobre a emergência endodôntica — flare-up, quanto à sua etiologia, ao seu mecanismo (nomeadamente microbiologia, resposta imunológica, mediadores químicos), factores responsáveis pelo agravamento desta condição, prognóstico e terapêutica a aplicar.
Materiais e métodos: Realizou-se uma pesquisa bibliográfica no motor de busca "MEDLINE/PubMed" com os seguintes limites: artigos publicados nos últimos dez anos (2004-2014), de acesso livre e com idioma português ou inglês. As palavras-chave utilizadas foram: "post-endodontic pain after root canal treatment", "post obturation pain following single and multi-visit root canal treatment", "postoperative pain after root canal treatment", "endodontic postoperative pain in endodontics", "endodontic flare-up". Também foram utilizados livros disponibilizados online na secção google livros com os seguintes limites: idioma português ou inglês e que tenham sido publicados nos últimos dez anos (2004-2014), tendo sido aceites 4.
Resultados: Verificou-se ainda de que a dor pós-operatória é mais provável de aparecer nas primeiras 24 h após o tratamento endodôntico diminuindo no período de tempo que se segue.
Vários autores concluem que o sucesso do TE não deve ser avaliado a curto prazo e que o aparecimento de flare-up em nada contribui para definir tal caso como um insucesso.
Conclusões: Concluiu-se que apesar dos avanços científicos e de muitas investigações feitas sobre esta emergência endodôntica, ainda não existe um acordo quanto à etiologia do flare-up.
Os clínicas devem estar bem informados sobre esta emergência e não agirem precipitadamente aquando do aparecimento de dor pós-operatória sem efectivamente confirmarem de que se trata de um flare-up.
Introduction: Endodontics is a field of study of Dentistry responsible for diagnosis, treatment and prognosis of the pulp pathologies. In the field of pulp pathologies, flare-up is included, being an endodontic emergency. It can occur during the endodontic treatment or after it is concluded. The most common symptoms are pain and swelling. Many causal factors have been appointed for the appearance of this condition, for example, irritants left in the root canals system, presence of pain/ swelling before the endodontic treatment, and many other factors. Flare-up is a painful pathology which in many cases disrupts the relation between the patient and his clinician. That is why all clinicians should explain possible upcoming complications of the endodontic treatment. Flare-up can be treated, presenting a good prognosis, if the condition is correctly diagnosed. Objectives: In this dissertation, the objectives were the clarification about this endodontic emergency — flare-up, about its etiology, its mechanism (namely, microbiology, immune response, and chemical mediators), and factors responsible for its aggravation, prognosis and its treatment. Materials and methods: A research was done in the search engine "MEDLINE/PubMed" with the following conditions: articles published in the last ten years (2004-2014), with open access and in an english or portuguese language. The key-words used were:"post-endodontic pain after root canal treatment", "post obturation pain following single and multi-visit root canal treatment", "postoperative pain after root canal treatment", "endodontic postoperative pain in endodontics", "endodontic flare-up". Dentistry books, available in the online section of google books, were included in this dissertation with the following conditions portuguese or english language and published that have been published in the last ten years (2004-2014). Four were accepted. Results: It was verified that the upcoming of post endodontic pain occurs in the first 24 h, decreasing after that. Several authors concluded that the success of flare-up should not be evaluated in short term and that the appearance of flare-up does not contributes to define such cases as unsuccessful. Conclusion: It has been concluded that despite scientific advancement and many research about this endodontic emergency was done, there still isn't an agreement about etiology of flare-up. Clinicians should be updated about this emergency and should not act to soon when the patient reports post-operative pain, without confirming that what the patient refers is in fact a flare-up.
Introduction: Endodontics is a field of study of Dentistry responsible for diagnosis, treatment and prognosis of the pulp pathologies. In the field of pulp pathologies, flare-up is included, being an endodontic emergency. It can occur during the endodontic treatment or after it is concluded. The most common symptoms are pain and swelling. Many causal factors have been appointed for the appearance of this condition, for example, irritants left in the root canals system, presence of pain/ swelling before the endodontic treatment, and many other factors. Flare-up is a painful pathology which in many cases disrupts the relation between the patient and his clinician. That is why all clinicians should explain possible upcoming complications of the endodontic treatment. Flare-up can be treated, presenting a good prognosis, if the condition is correctly diagnosed. Objectives: In this dissertation, the objectives were the clarification about this endodontic emergency — flare-up, about its etiology, its mechanism (namely, microbiology, immune response, and chemical mediators), and factors responsible for its aggravation, prognosis and its treatment. Materials and methods: A research was done in the search engine "MEDLINE/PubMed" with the following conditions: articles published in the last ten years (2004-2014), with open access and in an english or portuguese language. The key-words used were:"post-endodontic pain after root canal treatment", "post obturation pain following single and multi-visit root canal treatment", "postoperative pain after root canal treatment", "endodontic postoperative pain in endodontics", "endodontic flare-up". Dentistry books, available in the online section of google books, were included in this dissertation with the following conditions portuguese or english language and published that have been published in the last ten years (2004-2014). Four were accepted. Results: It was verified that the upcoming of post endodontic pain occurs in the first 24 h, decreasing after that. Several authors concluded that the success of flare-up should not be evaluated in short term and that the appearance of flare-up does not contributes to define such cases as unsuccessful. Conclusion: It has been concluded that despite scientific advancement and many research about this endodontic emergency was done, there still isn't an agreement about etiology of flare-up. Clinicians should be updated about this emergency and should not act to soon when the patient reports post-operative pain, without confirming that what the patient refers is in fact a flare-up.